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Modelling of potential food policy interventions in Fiji and Tonga and their impacts on noncommunicable disease mortality

Snowdon, Wendy, Moodie, Marj, Schultz, Jimaima and Swinburn, Boyd 2011, Modelling of potential food policy interventions in Fiji and Tonga and their impacts on noncommunicable disease mortality, Food policy, vol. 36, no. 5, pp. 597-605, doi: 10.1016/j.foodpol.2011.06.001.

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Title Modelling of potential food policy interventions in Fiji and Tonga and their impacts on noncommunicable disease mortality
Author(s) Snowdon, Wendy
Moodie, MarjORCID iD for Moodie, Marj orcid.org/0000-0001-6890-5250
Schultz, Jimaima
Swinburn, Boyd
Journal name Food policy
Volume number 36
Issue number 5
Start page 597
End page 605
Total pages 9
Publisher Pergamon
Place of publication London, England
Publication date 2011-10
ISSN 0306-9192
Keyword(s) food policy
environment
modelling
cost-effectiveness
Summary Background: To compare the likely costs and benefits of a range of potential policy interventions in Fiji and Tonga targeted at diet-related noncommunicable diseases (NCDs), in order to support more evidence-based decision-making.

Method: A relatively simple and quick macro-simulation methodology was developed. Logic models were developed by local stakeholders and used to identify costs and dietary impacts of policy changes. Costs were confined to government costs, and excluded cost offsets. The best available evidence was combined with local data to model impacts on deaths from noncommunicable diseases over the lifetime of the target population. Given that the modelling necessarily entailed assumptions to compensate for gaps in data and evidence, use was made of probabilistic uncertainty analysis.

Results:
Costs of implementing policy changes were generally low, with the exception of some requiring additional long-term staffing or construction activities. The most effective policy options in Fiji and Tonga targeted access to local produce and high-fat meats respectively, and were estimated to avert approximately 3% of diet-related NCD deaths in each population. Many policies had substantially lower benefits. Cost-effectiveness was higher for the low-cost policies. Similar policies produced markedly different results in the two countries.

Conclusion:
Despite the crudeness of the method, the consistent modelling approach used across all the options, allowed reasonable comparisons to be made between the potential policy costs and impacts. This type of modelling can be used to support more evidence-based and informed decision-making about policy interventions and facilitate greater use of policy to achieve a reduction in NCDs.
Language eng
DOI 10.1016/j.foodpol.2011.06.001
Field of Research 111715 Pacific Peoples Health
Socio Economic Objective 920207 Health Policy Economic Outcomes
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, Elsevier Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30042721

Document type: Journal Article
Collections: Population Health
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.